FORM 1023-EZ for ACT FOR CAUSE

Field Data
EIN 47-2639162
Case Number EO-2019273-000611
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACT FOR CAUSE
Organization’s Mailing Address 220 SOUTH ROBERT STREEET 100
City SAINT PAUL
State MN
ZIP 55107
Accounting period End 12
Primary contact name KEILLEN CURTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAJ MEHTA
DIRECTOR
220 SOUTH ROBERT STREET 100
SAINT PAUL MN 55107

Officer/Director/Trustee Two

EBENEZER ORU
DIRECTOR
2678 SYLVAN STREET LITTLE
LITTLE CANADA MN 55117

Officer/Director/Trustee Three

SHIPRA BHANSALI
DIRECTOR
1610 BLACKHAWK LAKE PLACE
EAGAN MN 55122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/14
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAJ MEHTA
Signature Title DIRECTOR
Signature Date 9/28/19
EIN 47-2639162
Case Number EO-2015002-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACT FOR CAUSE
Organization’s Mailing Address 220 SOUTH ROBERT STREET 100
City SAINT PAUL
State MN
ZIP 55107
Accounting period End 12
Primary contact name KEILLEN CURTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAJ MEHTA
BOARD CHAIR
220 SOUTH ROBERT STREET 100
SAINT PAUL MN 55107

Officer/Director/Trustee Two

EBENENZER OTU
DIRECTOR
2678 SYLVAN STREET
LITTLE CANADA MN 55117

Officer/Director/Trustee Three

SHIPRA BHANSALI
DIRECTOR
1610 BLACKHAWK LAKE PLACE
EAGAN MN 55122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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